Provider Demographics
NPI:1740400183
Name:CAREFREE FAMILY MEDICINE,PC
Entity Type:Organization
Organization Name:CAREFREE FAMILY MEDICINE,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR /OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:A
Authorized Official - Last Name:INGALLS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-488-0575
Mailing Address - Street 1:PO BOX 2892
Mailing Address - Street 2:
Mailing Address - City:CAREFREE
Mailing Address - State:AZ
Mailing Address - Zip Code:85377-2892
Mailing Address - Country:US
Mailing Address - Phone:480-488-0575
Mailing Address - Fax:480-488-7496
Practice Address - Street 1:8900 E PINNACLE PEAK RD STE D6
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-3647
Practice Address - Country:US
Practice Address - Phone:480-488-0575
Practice Address - Fax:480-374-5253
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-26
Last Update Date:2022-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAZ23364207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZD24489Medicare UPIN
AZ117751Medicare PIN